Narrowing of airway caused by ingestion of methyl ethyl ketone peroxide.

Abstract:

:Although ingestion of methyl ethyl ketone peroxide (MEKP) is rare, it carries a high risk of morbidity and mortality. This paper reports the first such case from Turkey in which a 70-year-old man unintentionally ingested MEKP in his kitchen. The patient was brought into the emergency department (ED) within 1 hour of ingestion, with the symptoms of sore throat, shortness of breath, nausea and vomiting. Visual examination of the oropharynx revealed minor burns and uvular edema. A laryngoscope examination performed in the ED showed superficial mucosal injury with edema of the oropharynx, uvula, posterior pharynx, epiglottis, arytenoids and vocal cords. Lateral cervical radiography revealed a narrowing of airway due to a thickened epiglottis. After the diagnostic evaluation was completed, the patient was admitted to the gastroenterology intensive care unit for monitoring of adverse reactions. During follow-up, the patient made an uneventful recovery. Ingestion of MEKP generally results from accidental ingestion from a container. Therefore, these containers should be kept in safe places. In addition, the priority following the ingestion of MEKP should be given to maintain open and adequate airway in the ED.

journal_name

Hum Exp Toxicol

authors

Bozdemir MN,Yildiz M,Seyhanli ES,Gurbuz S,Kilicaslan I,Karlidag T

doi

10.1177/0960327111407230

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

2002-6

issue

12

eissn

0960-3271

issn

1477-0903

pii

0960327111407230

journal_volume

30

pub_type

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